|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$578.00 |
$578.00 |
$578.00 |
$260.24
|
|
Esophageal recording
|
$17,392.80 |
$17,392.80 |
$17,392.80 |
$1,963.00
|
|
Esophagus motility study
|
$2,473.20 |
$2,473.20 |
$2,473.20 |
$1,289.20
|
|
Esophgl motil w/stim/perfus
|
$13,233.65 |
$13,233.65 |
$13,233.65 |
$1,075.06
|
|
Established Patient Office Visit (level 3)
|
$366.05 |
$366.05 |
$366.05 |
$187.00
|
|
Estradiol valerate 10 mg inj
|
$12.00 |
$12.00 |
$12.00 |
$63.50
|
|
Estrogens total-sendout
|
$6.95 |
$6.95 |
$6.95 |
$89.25
|
|
Etanercept injection
|
$4,229.00 |
$4,229.00 |
$4,229.00 |
$1,801.20
|
|
Ethylene glycol -sendout
|
$15.00 |
$15.00 |
$15.00 |
$75.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$317.90 |
$317.90 |
$317.90 |
$219.60
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$59.60 |
$59.60 |
$59.60 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$567.45 |
$567.45 |
$567.45 |
$458.73
|
|
F-18 fdg pet diag
|
$2,381.20 |
$2,381.20 |
$2,381.20 |
$602.25
|
|
Factor ix
|
$196.05 |
$196.05 |
$196.05 |
$131.30
|
|
Factor ix non-recombinant
|
$11.00 |
$11.00 |
$11.00 |
$1.41
|
|
Factor xiii recomb a-subunit
|
$5.00 |
$5.00 |
$5.00 |
$18.29
|
|
Family therapy without pt 50min 90846
|
$615.10 |
$615.10 |
$615.10 |
$244.07
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$12.85 |
$12.85 |
$12.85 |
$27.81
|
|
Fat/lipids feces qualitative
|
$9.95 |
$9.95 |
$9.95 |
$34.56
|
|
Ferritin
|
$2,116.50 |
$2,116.50 |
$2,116.50 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,121.00 |
$4,121.00 |
$4,121.00 |
$1,776.61
|
|
Ferumoxytol, esrd use
|
$4,121.00 |
$4,121.00 |
$4,121.00 |
$0.34
|
|
Fetal biophys profile w/nst 76818
|
$946.00 |
$946.00 |
$946.00 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$2,512.55 |
$2,512.55 |
$2,512.55 |
$540.54
|
|
Fetal fibronectin
|
$1,290.35 |
$1,290.35 |
$1,290.35 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$275.40 |
$275.40 |
$275.40 |
$88.80
|
|
Fetal hemoglobin rosette
|
$30.35 |
$30.35 |
$30.35 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$166.20 |
$166.20 |
$166.20 |
$64.28
|
|
Fetal non stress test
|
$3,713.60 |
$3,713.60 |
$3,713.60 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$201.35 |
$201.35 |
$201.35 |
$120.85
|
|
Fibrin degradation products
|
$526.25 |
$526.25 |
$526.25 |
$62.40
|
|
Fibrin degrade semiquant
|
$526.25 |
$526.25 |
$526.25 |
$92.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$50.15 |
$50.15 |
$50.15 |
$66.00
|
|
Flow cytometry marker each additional
|
$111.35 |
$111.35 |
$111.35 |
$103.00
|
|
Flow cytometry one marker technical component
|
$247.65 |
$247.65 |
$247.65 |
$270.75
|
|
Fludarabine 50 mg intravenous solution
|
$944.00 |
$944.00 |
$944.00 |
$601.96
|
|
Fluidotherapy charges pt
|
$1,390.85 |
$1,390.85 |
$1,390.85 |
$95.00
|
|
Fluorescent antibody titer dna
|
$39.05 |
$39.05 |
$39.05 |
$123.65
|
|
Fluoro polarize fetal lung
|
$68.20 |
$68.20 |
$68.20 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$63.00 |
$63.00 |
$63.00 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$753.00 |
$753.00 |
$753.00 |
$142.87
|
|
Folic acid
|
$399.20 |
$399.20 |
$399.20 |
$90.60
|
|
Foscarnet sodium injection
|
$18,000.00 |
$18,000.00 |
$18,000.00 |
$970.94
|
|
Fresh frozen plasma thawing ea un
|
$30.55 |
$30.55 |
$30.55 |
$123.90
|
|
Ga-67 gallium 0.1 mci
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$163.80
|
|
Gammaglobulin ige
|
$170.70 |
$170.70 |
$170.70 |
$85.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$398.00 |
$398.00 |
$398.00 |
$209.07
|
|
Gastric analy w/ph ea spec
|
$816.50 |
$816.50 |
$816.50 |
$23.01
|
|
Gated heart multiple
|
$14,168.15 |
$14,168.15 |
$14,168.15 |
$1,370.99
|
|
G-esoph reflx tst w/electrod
|
$6,660.75 |
$6,660.75 |
$6,660.75 |
$1,352.03
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$23.80 |
$23.80 |
$23.80 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$7.90 |
$7.90 |
$7.90 |
$73.70
|
|
Ghs bleeding time (ivy)
|
$1,328.25 |
$1,328.25 |
$1,328.25 |
$55.90
|
|
Ghs chemo >8 hrs
|
$2,517.15 |
$2,517.15 |
$2,517.15 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$1,174.60 |
$1,174.60 |
$1,174.60 |
$291.60
|
|
Ghs hcv amplificaiton
|
$52.55 |
$52.55 |
$52.55 |
$187.00
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$14.80 |
$14.80 |
$14.80 |
$27.56
|
|
Ghs histoplasma antigen
|
$87.00 |
$87.00 |
$87.00 |
$137.80
|
|
Ghs inhibitor screen
|
$114.00 |
$114.00 |
$114.00 |
$143.32
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.25 |
$2.25 |
$2.25 |
$59.40
|
|
Ghs mbp
|
$25.75 |
$25.75 |
$25.75 |
$74.19
|
|
Ghs musc test done w/n test comp
|
$636.85 |
$636.85 |
$636.85 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$636.85 |
$636.85 |
$636.85 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$346.15 |
$346.15 |
$346.15 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$503.85
|
|
Ghs o2 saturation
|
$31.65 |
$31.65 |
$31.65 |
$72.45
|
|
Ghs pacing - transcutaneous
|
$12,154.90 |
$12,154.90 |
$12,154.90 |
$868.68
|
|
Ghs phenylketonurid
|
$23.80 |
$23.80 |
$23.80 |
$51.58
|
|
Ghs ppd (tb intradermal)
|
$377.75 |
$377.75 |
$377.75 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$6.95 |
$6.95 |
$6.95 |
$40.56
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$15.15 |
$15.15 |
$15.15 |
$45.05
|
|
Ghs quinidine
|
$12.00 |
$12.00 |
$12.00 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$2,304.90 |
$2,304.90 |
$2,304.90 |
$42.40
|
|
Ghs sedimentation rate
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$45.50
|
|
Ghs semen analysis fert
|
$67.55 |
$67.55 |
$67.55 |
$123.20
|
|
Ghs st - re-eval for alt comm
|
$342.50 |
$342.50 |
$342.50 |
$309.00
|
|
Ghs urine, porphyrins quant
|
$5.90 |
$5.90 |
$5.90 |
$70.20
|
|
Glassia injection
|
$23.00 |
$23.00 |
$23.00 |
$1,023.81
|
|
Glucagon 1 mg solution for injection
|
$882.00 |
$882.00 |
$882.00 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$882.00 |
$882.00 |
$882.00 |
$509.06
|
|
Glucagon plasma - sendout
|
$33.50 |
$33.50 |
$33.50 |
$58.56
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.80 |
$13.80 |
$13.80 |
$22.00
|
|
Glucose blood quantitative
|
$16.35 |
$16.35 |
$16.35 |
$44.76
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$290.30 |
$290.30 |
$290.30 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$269.70 |
$269.70 |
$269.70 |
$56.70
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$998.15 |
$998.15 |
$998.15 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$798.50 |
$798.50 |
$798.50 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$87.00 |
$87.00 |
$87.00 |
$2,648.81
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$293.00 |
$293.00 |
$293.00 |
$1,560.21
|
|
Group mnt 2 or more 30 mins
|
$49.65 |
$49.65 |
$49.65 |
$35.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$133.00 |
$133.00 |
$133.00 |
$35.40
|
|
Hbot, full body chamber, 30m
|
$721.25 |
$721.25 |
$721.25 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$12,439.60 |
$12,439.60 |
$12,439.60 |
$759.72
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$9,717.45 |
$9,717.45 |
$9,717.45 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$15,500.90 |
$15,500.90 |
$15,500.90 |
$3,309.00
|
|
Hemoglobin
|
$637.10 |
$637.10 |
$637.10 |
$31.75
|
|
Hemoglobin f (fetal) chemical
|
$5.80 |
$5.80 |
$5.80 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$26.55 |
$26.55 |
$26.55 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$61.05 |
$61.05 |
$61.05 |
$73.00
|
|
Hemoglobin plasma
|
$12.35 |
$12.35 |
$12.35 |
$40.56
|
